NPIMap

Organization Active NPI

PBMJ Associates

  • Health Maintenance Organization
  • Baltimore, MD
National Provider Identifier
1891007738
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
LC30506 Issued in MD
Legal business name
PBMJ ASSOCIATES
Practice address
1 E Mount Royal Ave
Baltimore, MD 21202-2614
Phone
(443) 559-0450
NPI assigned
Jul 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Pamela Evette Byrd, LCPC,CAC-ADNPI 1033647268
Title
Ceo/Licensed Professional Counselor
Phone
(443) 559-0450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LC3506 MD
Community/Behavioral Health Agency 251S00000X LC3506 MD
Early Intervention Provider Agency 252Y00000X LC3506 MD
Health Maintenance Organization 302R00000X LC30506 MD Primary

Addresses

Primary practice location

1 E Mount Royal Ave
Baltimore, MD 21202-2614

Mailing address

PO Box 19817
Brooklyn, MD 21225-0317
Phone (443) 559-0450

Other identifiers 1

IdentifierTypeStateIssuer
419828000MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1891007738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19817",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212250317",
            "telephone_number": "443-559-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MOUNT ROYAL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022614",
            "telephone_number": "443-559-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBMJ ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "EVETTE",
        "authorized_official_title_or_position": "CEO/LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "443-559-0450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC,CAC-AD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": "LC3506",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC3506",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MD",
            "license": "LC3506",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MD",
            "license": "LC30506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419828000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.